Heart failure & cardiomyopathies

Association between programmed electrical stimulation inducibility and arrhythmic risk in hypertrophic cardiomyopathy: a systematic review and meta-analysis

HeartPublished Systematic review and meta-analysis

Pooled result · MAEResult — go to the resultOdds ratio 10.83 95% CI 3.52–33.34

Authors' conclusion

PES inducibility is associated with a 10 times higher risk of MAE in patients with HCM.

Study context

Population
Patients with hypertrophic cardiomyopathy (HCM)
Participants
587 patients5 studies
Comparison
Programmed electrical stimulation (PES) inducible vs non-inducible
  • Induciblen = 188
Outcome
Major arrhythmic events (MAE) (sudden cardiac death (SCD), resuscitated cardiac arrest or appropriate ICD interventions)
Methodological detailsrandom-effects
  • Random-effects

Pooled result

MAE

Odds ratio

10.83

95% CI 3.52–33.34

P < 0.001

Events by group

Induciblevs Non-inducible
OR 10.83 (95% CI 3.52–33.34); P < 0.001

As reported in the abstract

Further pooled results

OutcomeValues
Predictive value of PES for MAEPES Sensitivity 81% · Specificity 72% · PPV 18% · NPV 98%

Original publication

Association between programmed electrical stimulation inducibility and arrhythmic risk in hypertrophic cardiomyopathy: a systematic review and meta-analysis. Heart. Published 16 April 2025. doi:10.1136/heartjnl-2024-325043

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